CN117771464A - Biliary tract flushing device used after liver transplantation - Google Patents

Biliary tract flushing device used after liver transplantation Download PDF

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Publication number
CN117771464A
CN117771464A CN202311731281.3A CN202311731281A CN117771464A CN 117771464 A CN117771464 A CN 117771464A CN 202311731281 A CN202311731281 A CN 202311731281A CN 117771464 A CN117771464 A CN 117771464A
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China
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pipe
flushing
tube
biliary tract
liquid
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CN202311731281.3A
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CN117771464B (en
Inventor
王宪强
周志鹏
邢国栋
夏俏
申州
余珍珠
丛霆
马云鹤
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7th Medical Center of PLA General Hospital
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7th Medical Center of PLA General Hospital
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    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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Abstract

The invention provides a biliary tract flushing device used after liver transplantation, belonging to the technical field of medical appliances. The novel water-saving device comprises a lower ball body, wherein an upper ball body is arranged above the lower ball body, the bottom of the lower ball body is provided with a liquid discharge end, and the bottom of the liquid discharge end is provided with a sealing part; and the pipeline assembly is arranged on the liquid draining end. The utility model provides a be used for liver to transplant postoperative biliary tract washing unit can be convenient for bile be extracted and discharged in two injection intervals, need not separation wash pipe and the external drainage tube of patient many times, has reduced the operating procedure in the washing flow, and then has reduced the washing time, has improved single washing flow speed, and the liquid level in the accessible observation pipe of medical personnel accessible changes the range and judges the change amount of the dynamics of pressing and the speed of pressing in oneself short time simultaneously, and the amplitude is pressed to convenient control hand, and then can make medical personnel's risk of making mistakes reduce.

Description

Biliary tract flushing device used after liver transplantation
Technical Field
The invention relates to the technical field of medical appliances, in particular to a biliary tract flushing device used after liver transplantation.
Background
Liver transplantation refers to the operation of implanting healthy liver into a patient to restore liver function of the patient with end-stage liver disease to normal level, after operation, a T-tube, also called bile drainage tube, is remained in the patient, and the main functions are: drainage of bile, prevention of bile leakage, support of biliary tract, prevention of stenosis and the like, and a washing operation is required for the bile drainage tube within a certain time after operation, for cleaning and maintaining smoothness of the bile drainage tube.
The flushing operation in-process of above-mentioned biliary drainage tube uses the flusher often to wash and pour into to the washing medicine, and because there is the operation of extraction many times and observing the bile extract condition in the washing flow, and the flusher needs to be connected and separate with the drainage tube many times, cause the operation in the washing flow many times, it is complicated to have improved the required time in the washing flow once, the washing speed has been slowed down, and medical personnel do not have external reference when pressing the flusher sacculus, only can judge through exchanging with the patient that the injection speed of biliary tract flushing fluid is suitable, it is difficult to judge whether the hand dynamics of pressing and speed are at the uniform velocity, suitable, and then lead to medical personnel's mistake risk to improve, therefore, the application provides a biliary tract flushing device for liver transplantation postoperative to satisfy the demand.
Disclosure of Invention
The invention aims to solve the technical problems of providing a biliary tract flushing device after liver transplantation, which aims to solve the problems that the flusher needs to be connected and separated with a drainage tube for a plurality of times, so that the operation in one flushing flow is complex and complicated, the time required in one flushing flow is prolonged, the flushing speed is reduced, and the flushing speed change is difficult to judge by medical staff.
In order to solve the technical problems, the invention provides the following technical scheme:
a biliary irrigation device for use after liver transplantation, comprising: the upper ball body is arranged above the lower ball body, the bottom of the lower ball body is provided with a liquid discharge end, and the bottom of the liquid discharge end is provided with a sealing part; the pipeline assembly is arranged on the liquid discharge end; the fixed component is arranged on the lower sphere and the upper sphere; and the communication assembly is arranged on the lower sphere and the pipeline assembly.
Optionally, the pipeline assembly includes the wash pipe, wash pipe fixed mounting is in the outside of flowing back end, the bottom of wash pipe is provided with the biliary drainage tube, the one end of biliary drainage tube is provided with the check valve, the one end of check valve is provided with the bellows, the one end of wash pipe and bellows all is provided with the liquid stopper.
Optionally, the fixed subassembly includes the lower support area, lower support area fixed mounting is in go up spheroidal top, go up spheroidal top and be located the outside fixed mounting of lower support area and have an upper support area, spheroidal front side fixed mounting has the fastener down, spheroidal rear side fixed mounting has outer elastic band down, outer elastic band's front side is provided with interior cingulum, interior cingulum's front side is provided with the fastener.
Optionally, the UNICOM subassembly includes the feed liquor pipe, the one end of feed liquor pipe is provided with the observation pipe, the one end of observation pipe is provided with the connecting pipe, the one end of connecting pipe is linked together with the rear upside of wash pipe.
Optionally, the spheroidal inboard of going up is provided with the arc section, the top of arc section is provided with a plurality of stiffening ribs, the top of stiffening rib and the spheroidal top inner wall fixed connection of going up, it is provided with the notes liquid pipe to go up spheroidal top left side, the bottom of notes liquid pipe is linked together with the spheroidal inside cavity of going up.
Optionally, a friction surface is arranged at the top of the upper sphere, and protrusions are uniformly distributed on the friction surface.
Optionally, the top of lower supporting belt is provided with the concave surface, the top department of going up the supporting belt is provided with the recess in the middle of, and the connecting pipe is located between the adjacent side of lower supporting belt and last supporting belt, lower supporting belt and last supporting belt all adopt rubber materials to make.
Optionally, an inclined tube is arranged at the joint of the biliary drainage tube and the flushing tube, and a support arm is arranged at one side of the inclined tube.
Optionally, one end of the support arm is fixedly arranged at the bending part of the flushing pipe, and a triangular area is formed among the support arm, the biliary drainage tube and the flushing pipe.
Optionally, the inner side of the lower sphere is provided with a cavity, and four corners of the inner side of the cavity are provided with metal arc plates, and the metal arc plates and the lower sphere are of an integrated structure.
The application also provides a flushing method for the biliary tract flushing device after liver transplantation, which comprises the following steps:
s1, respectively plugging a liquid blocking plug into the inner sides of one ends of a flushing pipe and a corrugated pipe, compressing the corrugated pipe, opening an end cover of a liquid injection pipe, and injecting biliary tract flushing liquid inwards, wherein before the injection process, a single hand is inserted between an outer elastic belt and an inner buckling belt, so that a hand abdomen is buckled on the outer side of a connecting pipe by pushing a clamping piece through the inner buckling belt, a lower ball body is held by four fingers, a thumb is placed on the top friction surface of the upper ball body, the thumb is enabled to be in contact with the top of an upper supporting belt to be sunken, the upper ball body is extruded by a gap, the bottom sealing part is enabled to be extruded downwards to generate elastic deformation to be opened, and biliary tract flushing liquid in the lower ball body flows into the inner side of the flushing pipe from a gap, wherein part of the biliary tract flushing liquid enters into a biliary drainage pipe under the action of gravity until the biliary tract flushing liquid blocking by the liquid blocking plug;
s2, after the flushing pipe is filled with biliary tract flushing liquid, stopping squeezing the upper ball body and continuously injecting the biliary tract flushing liquid until the liquid level is level with the top of the liquid injection pipe, stopping liquid injection, and sealing the upper end of the liquid injection pipe;
s3, pulling out a liquid blocking plug at one end of the flushing pipe, connecting the end with a sterilized drainage tube outside the patient, and then elongating the corrugated pipe, and placing one end of the corrugated pipe in a bending disc;
s4, pressing down the upper supporting belt by the thumb, extruding the connecting pipe, the lower supporting belt and the upper ball body along, finally deforming and sealing the middle part of the connecting pipe, inwards concavely extruding biliary tract flushing liquid in the ball body by the upper ball body, opening the lower sealing part, enabling the biliary tract flushing liquid to enter the flushing pipe, simultaneously under the action of extrusion force, observing the part of the liquid level in the pipe to rise, judging the pressure change of the biliary tract flushing liquid in the flushing pipe in a short time by observing the rise amplitude of the liquid level in the observation pipe, and simultaneously changing the force for controlling the pressure of the thumb so as to keep the pressure of the biliary tract flushing liquid in the flushing pipe constant;
s5, when the color and state change of bile are required to be observed, the thumb stops pressing, the liquid blocking plug at the bottom of the corrugated pipe is opened, the thumb is lifted upwards when the liquid in the flushing pipe is about to flow out, the outer contour of the upper sphere is restored, the pressure in the communication assembly and the flushing pipe is reduced, bile flows into the flushing pipe from the external drainage pipe, at the moment, the bile can be observed, then enters the bile drainage pipe under the action of gravity, is discharged downwards from the one-way valve after accumulating a certain height, and flows into the bending disc along the corrugated pipe;
s6, repeating the operation until the liquid level in the observation tube reaches the lowest point, and separating the flushing tube from the external drainage tube of the patient.
Compared with the prior art, the invention has at least the following beneficial effects:
in the above-mentioned scheme, through last spheroid and lower spheroid, flowing back end and the closing part that set up, can be convenient for hold more bile flushing fluid, through being provided with the bile drainage tube, the check valve, the bellows, the feed liquor pipe, observe pipe and connecting pipe etc. can be convenient for bile and be taken out by the extraction in two injection intervals, need not the external drainage tube of separation flushing tube and patient many times, reduce the operating procedure in the washing flow, and then reduced the washing time, the speed of single washing flow has been improved, the liquid level change range in the accessible observation pipe of medical personnel simultaneously judges the change amount of own short time in dynamics of pressing and pressing speed, the amplitude is pressed to the convenient control hand, and then can make medical personnel's risk of making mistakes reduce.
Through the lower supporting band and the upper supporting band that set up, can be convenient for realize the quick extrusion closure and the quick recovery to the connecting pipe, through outer elastic band and interior cingulum and fastener and the fastener that set up, be convenient for fix a position and fix connecting pipe and observation pipe, make things convenient for medical personnel to hold the device simultaneously, avoid the hand to slide and drop, improve and hold the stability, simultaneously through the protruding that sets up, can improve contact friction, further guaranteed firm and the reliability of holding.
Drawings
The accompanying drawings, which are incorporated herein and form a part of the specification, illustrate embodiments of the present disclosure and, together with the description, further serve to explain the principles of the disclosure and to enable a person skilled in the pertinent art to make and use the disclosure.
FIG. 1 is a schematic view showing a three-dimensional structure of a biliary tract irrigation device used after a liver transplantation operation;
FIG. 2 is a schematic view showing another perspective view of a biliary tract irrigating device for liver transplantation;
FIG. 3 is a schematic diagram showing the structure of a biliary tract irrigation device in front view after liver transplantation;
FIG. 4 is a schematic cross-sectional view of a biliary irrigation device for use after liver transplantation;
FIG. 5 is a partially exploded view of a biliary tract irrigation device used after liver transplantation;
FIG. 6 is a schematic view of the enlarged partial structure of FIG. 2;
fig. 7 is a schematic view of the partially enlarged structure of fig. 4.
[ reference numerals ]
1. A lower sphere; 2. an upper sphere; 3. a liquid discharge end; 4. a closing part; 5. a flushing pipe; 6. a biliary drainage tube; 7. a one-way valve; 8. a bellows; 9. a lower support belt; 10. an upper support belt; 11. a fastener; 12. an outer elastic band; 13. an inner buckle belt; 14. a clamping piece; 15. a liquid inlet pipe; 16. an observation tube; 17. a connecting pipe; 18. an arc section; 19. reinforcing ribs; 20. a liquid injection pipe; 21. a protrusion; 22. a chute; 23. a support arm; 24. a metal arc plate; 25. and a liquid blocking plug.
While particular structures and devices are shown in the drawings to enable a clear implementation of embodiments of the invention, this is for illustrative purposes only and is not intended to limit the invention to the particular structures, devices and environments, which may be modified or adapted by those of ordinary skill in the art, as desired, and which remain within the scope of the appended claims.
Detailed Description
The following describes in detail a biliary tract irrigation device for liver transplantation according to the present invention with reference to the accompanying drawings and specific examples. While the invention has been described herein in terms of the preferred and preferred embodiments, the following embodiments are intended to be more illustrative, and may be implemented in many alternative ways as will occur to those of skill in the art; and the accompanying drawings are only for the purpose of describing the embodiments more specifically and are not intended to limit the invention specifically.
It should be noted that references in the specification to "one embodiment," "an example embodiment," "some embodiments," etc., indicate that the embodiment described may include a particular feature, structure, or characteristic, but every embodiment may not necessarily include the particular feature, structure, or characteristic. Further, when a particular feature, structure, or characteristic is described in connection with an embodiment, it is submitted that it is within the knowledge of one skilled in the relevant art to effect such feature, structure, or characteristic in connection with other embodiments whether or not explicitly described.
Generally, the terminology may be understood, at least in part, from the use of context. For example, the term "one or more" as used herein may be used to describe any feature, structure, or characteristic in a singular sense, or may be used to describe a combination of features, structures, or characteristics in a plural sense, depending at least in part on the context. In addition, the term "based on" may be understood as not necessarily intended to convey an exclusive set of factors, but may instead, depending at least in part on the context, allow for other factors that are not necessarily explicitly described.
It will be understood that the meanings of "on … …", "over … …" and "over … …" in this disclosure should be interpreted in the broadest sense so that "on … …" means not only "directly on" but also includes meaning "directly on" something with intervening features or layers therebetween, and "over … …" or "over … …" means not only "on" or "over" something, but also may include its meaning "on" or "over" something without intervening features or layers therebetween.
Furthermore, spatially relative terms such as "under …," "under …," "lower," "above …," "upper," and the like may be used herein for ease of description to describe one element or feature's relationship to another element or feature as illustrated in the figures. Spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. The device may be otherwise oriented and the spatially relative descriptors used herein may similarly be interpreted accordingly.
As shown in fig. 1 to 7, an embodiment of the present invention provides a biliary tract irrigation device for a liver transplantation, comprising: the device comprises a lower ball body 1, wherein an upper ball body 2 is arranged above the lower ball body 1, a liquid discharge end 3 is arranged at the bottom of the lower ball body 1, and a sealing part 4 is arranged at the bottom of the liquid discharge end 3; the pipeline assembly is arranged on the liquid discharge end 3; the fixing component is arranged on the lower sphere 1 and the upper sphere 2; the communicating component is arranged on the lower sphere 1 and the pipeline component, the sealing part 4 is formed by two symmetrical sealing sheets, conical surfaces are arranged on the outer sides of the bottoms of the sealing sheets, empty slots are formed in the bottoms and the inner walls of the bottoms of the sealing sheets, the two sealing sheets and the liquid discharge end 3 are of an integrated structure, so that the sealing sheets are respectively expanded to the two sides below when being extruded, gaps between adjacent surfaces are exposed, and flushing liquid in the sphere is conveniently discharged.
When the device is used, the liquid blocking plug 25 is respectively plugged into the inner sides of one end of the flushing pipe 5 and one end of the corrugated pipe 8, flushing liquid is prevented from being directly discharged out of the pipeline, the corrugated pipe 8 is compressed, so that the liquid storage in the bile drainage pipe 6 is reduced, the end cover of the liquid injection pipe 20 is opened, biliary flushing liquid is injected inwards, before the injection process, one hand is inserted between the outer elastic band 12 and the inner buckling band 13, the abdomen of the hand pushes the clamping piece 14 to be buckled on the outer side of the connecting pipe 17 through the inner buckling band 13, so that the positioning of the connecting pipe 17 is realized, the lower ball 1 is held by four fingers, the thumb is placed on the top friction surface of the upper ball 2, the thumb contacts the top of the upper supporting band 10, the upper ball 2 is extruded in a gap, the bottom sealing part 4 is extruded downwards to generate elastic deformation to be opened, and biliary flushing liquid in the lower ball 1 flows into the inner side of the flushing pipe 5 from a gap, and part of the lower ball 1 enters the bile drainage pipe 6 under the action of gravity until the clamping piece is blocked by the liquid blocking plug 25; after the flushing pipe 5 is filled with biliary tract flushing liquid, a section of liquid level stays in the observation pipe 16 at this moment, the ball 2 is stopped to be extruded, the biliary tract flushing liquid is continuously injected until the liquid level is flush with the top of the liquid injection pipe 20, the liquid injection is stopped, and at this moment, the air in the ball is completely discharged, and the upper end of the liquid injection pipe 20 is closed.
Pulling out the liquid blocking plug 25 at one end of the flushing pipe 5, connecting the end with the sterilized drainage tube outside the patient, facilitating the injection of flushing liquid, and then elongating the corrugated pipe 8, and placing one end of the corrugated pipe in the bending disc, facilitating the subsequent drainage of bile; the thumb presses down the upper supporting belt 10, and extrudes the connecting pipe 17, the lower supporting belt 9 and the upper ball body 2 along, and finally, the middle part of the connecting pipe 17 is deformed and sealed, so that flushing fluid is prevented from being discharged from the section, the upper ball body 2 is inwards sunken to extrude biliary tract flushing fluid in the ball body, two sealing sheets on the lower sealing part 4 are outwards opened, the biliary tract flushing fluid enters the flushing pipe 5 in a gap opened by flushing, meanwhile, the pressure is acted by the extrusion force, the liquid level in the observation pipe 16 is partially risen, the pressure change of the biliary tract flushing fluid in the flushing pipe 5 in a short time is judged by observing the rising amplitude of the liquid level in the observation pipe 16, and meanwhile, the strength for controlling the thumb to press is changed, so that the pressure of the biliary tract flushing fluid in the flushing pipe 5 is kept constant.
When the color and state change of bile are required to be observed, the thumb stops pressing, the original taste is maintained, the liquid blocking plug 25 at the bottom of the corrugated pipe 8 is opened, residual flushing liquid in the bile drainage tube 6 and in the flushing pipe 5 is discharged downwards from the one-way valve 7 and enters the bending disc, when the liquid in the flushing pipe 5 is about to flow out, the thumb is lifted upwards to restore the outer contour of the upper ball body 2, the pressure in the communicating component and the flushing pipe 5 is reduced, bile flows into the flushing pipe 5 from the external drainage tube, at the moment, bile can be observed, then the bile enters the bile drainage tube 6 under the action of gravity after being extracted into the flushing pipe 5, and after a section of height is accumulated, the residual flushing liquid is discharged downwards from the one-way valve 7 and flows into the bending disc along the corrugated pipe 8; the above operation is repeated until the liquid level in the observation tube 16 reaches the lowest point, the flushing tube 5 and the external drainage tube of the patient are separated, and the biliary tract flushing device for liver transplantation can conveniently contain more bile flushing liquid through the upper sphere 2, the lower sphere 1, the liquid draining end 3 and the sealing part 4.
Through being provided with biliary drainage tube 6, check valve 7, bellows 8, feed liquor pipe 15, observation tube 16 and connecting pipe 17 etc. can be convenient for bile be by the extraction and discharge in two injection intervals, need not the external drainage tube of separation wash tube 5 and patient many times, reduced the operating procedure in the washing flow once, and then reduced the washing time of using, improved single washing flow speed, the liquid level change range in the medical personnel accessible observation tube 16 of while is judged the change of own short time in dynamics of pressing and pressing speed, the amplitude is pressed to convenient control hand, and then can make medical personnel's risk of making mistakes reduce. Through the lower supporting belt 9 and the upper supporting belt 10 that set up, can be convenient for realize the quick extrusion closure and the quick recovery to connecting pipe 17, through outer elastic band 12 and interior cingulum 13 and fastener 14 and the fastener 11 that set up, be convenient for fix a position and fix connecting pipe 17 and observation pipe 16, make things convenient for medical personnel to hold the device simultaneously, avoid the hand to slide and drop, improve and hold the stability, simultaneously through protruding 21 that sets up, can improve contact friction, further guaranteed the firm and the reliability of holding.
As shown in fig. 1, the pipeline assembly comprises a flushing pipe 5, the flushing pipe 5 is fixedly arranged on the outer side of the liquid draining end 3, a biliary drainage tube 6 is arranged at the bottom of the flushing pipe 5, a one-way valve 7 is arranged at one end of the biliary drainage tube 6, a corrugated pipe 8 is arranged at one end of the one-way valve 7, liquid blocking plugs 25 are arranged at one ends of the flushing pipe 5 and the corrugated pipe 8, the one-way valve 7 only allows liquid to flow downwards, air is not allowed to enter the flushing pipe 5 upwards, negative pressure in the flushing pipe 5 is convenient to build, bile is extracted outwards through connecting an external drainage tube, the length of a pipeline below the one-way valve 7 can be prolonged when needed by the corrugated pipe 8, and drainage of bile is convenient.
As shown in fig. 1-3 and 7, the fixing assembly comprises a lower supporting band 9, the lower supporting band 9 is fixedly installed at the top of an upper sphere 2, an upper supporting band 10 is fixedly installed at the top of the upper sphere 2 and located at the outer side of the lower supporting band 9, a fastener 11 is fixedly installed at the front side of the lower sphere 1, an outer elastic band 12 is fixedly installed at the rear side of the lower sphere 1, an inner fastening band 13 is arranged at the front side of the outer elastic band 12, a clamping piece 14 is arranged at the front side of the inner fastening band 13, the clamping piece 14 and the fastener 11 are respectively used for fixing an observation tube 16 and a connecting tube 17, and the inner fastening band 13 is convenient for fixing the position of the connecting tube 17 through extrusion force provided when a person holds the inner fastening band 13.
As shown in fig. 1-3, 6 and 7, the communicating component comprises a liquid inlet pipe 15, an observation pipe 16 is arranged at one end of the liquid inlet pipe 15, a connecting pipe 17 is arranged at one end of the observation pipe 16, one end of the connecting pipe 17 is communicated with the rear upper side of the flushing pipe 5, the inner diameter of the observation pipe 16 is narrower, the change of the liquid level height in the pipe can be conveniently amplified, and the observation of medical staff is facilitated.
As shown in fig. 1, fig. 4 and fig. 7, the inner side of the upper sphere 2 is provided with an arc section 18, the top of the arc section 18 is provided with a plurality of reinforcing ribs 19, the top of the reinforcing ribs 19 is fixedly connected with the inner wall of the top of the upper sphere 2, the left side of the top of the upper sphere 2 is provided with a liquid injection pipe 20, the bottom of the liquid injection pipe 20 is communicated with the inner cavity of the upper sphere 2, the arc section 18 can limit the maximum height of the liquid level in the sphere, the reinforcing ribs 19 can improve the structural strength of the upper sphere 2, the maximum force required by extrusion is increased, and meanwhile, the force extrusion force is conveniently transmitted from the top of the upper sphere 2 to the arc section 18.
As shown in fig. 1 and 7, the top of the upper sphere 2 is provided with a friction surface, the friction surface is uniformly provided with protrusions 21, and the protrusions 21 can increase the contact friction force between the top of the upper sphere 2 and the hands of a person, so that the holding stability is improved.
As shown in fig. 1, 4, 6 and 7, the top of the lower supporting band 9 is provided with a concave surface, a recess is provided in the middle of the top of the upper supporting band 10, the connecting pipe 17 is located between the adjacent sides of the lower supporting band 9 and the upper supporting band 10, the lower supporting band 9 and the upper supporting band 10 are made of rubber materials, the concave surface is used for supporting the connecting pipe 17, the recess is used for positioning the pressing part of the thumb, and the combination of the concave surface and the concave surface is convenient for realizing rapid extrusion sealing and rapid recovery of the connecting pipe 17.
As shown in fig. 1, the joint of the bile drainage tube 6 and the flushing tube 5 is provided with an inclined tube 22, one side of the inclined tube 22 is provided with a support arm 23, one end of the support arm 23 is fixedly arranged at the bending part of the flushing tube 5, a triangular area is formed among the support arm 23, the bile drainage tube 6 and the flushing tube 5, the left end of the inclined tube 22 is higher than the right end, flushing liquid is prevented from entering the bile drainage tube 6 during flushing, the support arm 23 is convenient for supporting the inclined tube 22, and the inclined tube 22 is prevented from falling down due to gravity to be in a horizontal section during actual use.
As shown in fig. 4, the inner side of the lower sphere 1 is provided with a cavity, and four corners of the inner side of the cavity are provided with metal arc plates 24, the metal arc plates 24 and the lower sphere 1 are in an integrated structure, and the metal arc plates 24 are used for improving the structural strength of the lower sphere 1, reducing deformation and improving the holding hand feeling and holding stability.
The application also provides a flushing method for the biliary tract flushing device after liver transplantation, which comprises the following steps:
s1, firstly, a liquid blocking plug 25 is respectively plugged into the inner sides of one ends of a flushing pipe 5 and a corrugated pipe 8, the corrugated pipe 8 is compressed, an end cover of a liquid injection pipe 20 is opened, biliary tract flushing liquid is injected inwards, before the injection process, one hand is inserted between an outer elastic belt 12 and an inner buckling belt 13, a hand abdomen pushes a clamping piece 14 to be buckled on the outer side of a connecting pipe 17 through the inner buckling belt 13, a lower ball 1 is held by four fingers, a thumb is placed on the top friction surface of an upper ball 2, the thumb contacts with the top of an upper supporting belt 10 and is sunken, the upper ball 2 is extruded by a gap, a bottom sealing part 4 is extruded downwards to generate elastic deformation to be opened, and biliary tract flushing liquid in the lower ball 1 flows into the inner side of the flushing pipe 5 from the gap, wherein part of the biliary tract flushing liquid enters into a biliary tract drainage pipe 6 under the action of gravity until the barrier by the liquid blocking plug 25;
s2, after the flushing pipe 5 is filled with biliary tract flushing liquid, stopping extruding the upper ball body 2 and continuously injecting the biliary tract flushing liquid until the liquid level is level with the top of the liquid injection pipe 20, stopping liquid injection, and sealing the upper end of the liquid injection pipe 20;
s3, pulling out a liquid blocking plug 25 at one end of the flushing pipe 5, connecting the end with a sterilized drainage tube outside the patient, and then elongating the corrugated pipe 8, and placing one end of the corrugated pipe in a bending disc;
s4, pressing the upper supporting belt 10 downwards by the thumb, extruding the connecting pipe 17, the lower supporting belt 9 and the upper ball body 2 along, finally deforming and sealing the middle part of the connecting pipe 17, inwards sinking the upper ball body 2 to extrude biliary tract flushing liquid in the ball body, opening the lower sealing part 4, enabling the biliary tract flushing liquid to enter the flushing pipe 5, simultaneously under the action of extrusion force, observing the rising of the liquid level part in the pipe 16, judging the pressure change of the biliary tract flushing liquid in the flushing pipe 5 in a short time by observing the rising amplitude of the liquid level in the pipe 16, and simultaneously changing the force for controlling the pressing of the thumb so as to keep the pressure of the biliary tract flushing liquid in the flushing pipe 5 constant;
s5, when the color and state change of bile are required to be observed, the thumb stops pressing, the liquid blocking plug 25 at the bottom of the corrugated pipe 8 is opened, when the liquid in the flushing pipe 5 is about to flow out, the thumb is lifted upwards, the outer contour of the upper sphere 2 is restored, the pressure in the communicating component and the flushing pipe 5 is reduced, bile flows into the flushing pipe 5 from the external drainage pipe, at the moment, the bile can be observed, then enters the bile drainage pipe 6 under the action of gravity, is discharged downwards from the one-way valve 7 after accumulating a section of height, and flows into the bending disc along the corrugated pipe 8;
s6, repeating the operation until the liquid level in the observation tube 16 reaches the lowest point, and separating the flushing tube 5 from the external drainage tube of the patient.
According to the technical scheme, more bile flushing liquid can be conveniently contained through the upper ball body, the lower ball body, the liquid discharge end and the sealing part, bile can be conveniently extracted and discharged in the interval of two injections through the arrangement of the bile drainage tube, the one-way valve, the corrugated tube, the liquid inlet tube, the observation tube, the connecting tube and the like, the flushing tube and the external drainage tube of a patient do not need to be separated for multiple times, the operation steps in a flushing process are reduced, the flushing time is further shortened, the speed of the single flushing process is improved, meanwhile, medical staff can judge the pressing force and the changing amount of the pressing speed in a short time by observing the liquid level changing range in the tube, the pressing range of the hand can be conveniently controlled, and the error risk of the medical staff is further reduced. Through the lower supporting band and the upper supporting band that set up, can be convenient for realize the quick extrusion closure and the quick recovery to the connecting pipe, through outer elastic band and interior cingulum and fastener and the fastener that set up, be convenient for fix a position and fix connecting pipe and observation pipe, make things convenient for medical personnel to hold the device simultaneously, avoid the hand to slide and drop, improve and hold the stability, simultaneously through the protruding that sets up, can improve contact friction, further guaranteed firm and the reliability of holding.
The invention is intended to cover any alternatives, modifications, equivalents, and variations that fall within the spirit and scope of the invention. In the following description of preferred embodiments of the invention, specific details are set forth in order to provide a thorough understanding of the invention, and the invention will be fully understood to those skilled in the art without such details. In other instances, well-known methods, procedures, flows, components, circuits, and the like have not been described in detail so as not to unnecessarily obscure aspects of the present invention.
The foregoing is merely a preferred embodiment of the present invention and it should be noted that modifications and adaptations to those skilled in the art may be made without departing from the principles of the present invention, which are intended to be comprehended within the scope of the present invention.

Claims (10)

1. A biliary tract irrigation device for use after liver transplantation, comprising:
the upper ball body is arranged above the lower ball body, the bottom of the lower ball body is provided with a liquid discharge end, and the bottom of the liquid discharge end is provided with a sealing part;
a conduit assembly mounted on the drain end;
the fixing assembly is arranged on the lower sphere and the upper sphere;
and the communication assembly is arranged on the lower sphere and the pipeline assembly.
2. The biliary tract flushing device for liver transplantation according to claim 1, wherein the pipeline assembly comprises a flushing pipe, the flushing pipe is fixedly installed on the outer side of the liquid draining end, a biliary drainage pipe is arranged at the bottom of the flushing pipe, a one-way valve is arranged at one end of the biliary drainage pipe, a corrugated pipe is arranged at one end of the one-way valve, and liquid blocking plugs are arranged at one ends of the flushing pipe and the corrugated pipe.
3. The post-operative biliary tract irrigation device for liver transplantation according to claim 1, wherein the fixing assembly comprises a lower supporting strap fixedly mounted on the top of the upper sphere, an upper supporting strap fixedly mounted on the top of the upper sphere and on the outer side of the lower supporting strap, a fastener fixedly mounted on the front side of the lower sphere, an outer elastic strap fixedly mounted on the rear side of the lower sphere, an inner buckling strap arranged on the front side of the outer elastic strap, and a clamping piece arranged on the front side of the inner buckling strap.
4. The device for post-liver transplantation biliary tract irrigation according to claim 1, wherein the communicating assembly comprises a liquid inlet tube, one end of the liquid inlet tube is provided with an observation tube, one end of the observation tube is provided with a connecting tube, and one end of the connecting tube is communicated with the upper rear side of the irrigation tube.
5. The biliary tract flushing device for liver transplantation according to claim 1, wherein the inner side of the upper sphere is provided with an arc section, the top of the arc section is provided with a plurality of reinforcing ribs, the top of the reinforcing ribs is fixedly connected with the inner wall of the top of the upper sphere, the left side of the top of the upper sphere is provided with a liquid injection pipe, and the bottom of the liquid injection pipe is communicated with the inner cavity of the upper sphere.
6. The device for post-operative biliary tract irrigation as recited in claim 5, wherein the top of the upper sphere is provided with a friction surface having protrusions uniformly distributed thereon.
7. The device for post-liver-transplant biliary tract irrigation according to claim 3, wherein the top of the lower support band is provided with a concave surface, a recess is provided in the middle of the top of the upper support band, and the connection tube is located between adjacent sides of the lower and upper support bands, both of which are made of a rubber material.
8. The biliary tract irrigation device for liver transplantation according to claim 2, wherein an inclined tube is provided at the junction of the biliary drainage tube and the irrigation tube, and a support arm is provided at one side of the inclined tube.
9. The device according to claim 8, wherein one end of the arm is fixedly installed at a curved portion of the irrigation tube, and a triangular area is formed among the arm, the bile drainage tube and the irrigation tube.
10. The biliary tract flushing device for liver transplantation according to claim 1, wherein the inner side of the lower sphere is provided with a cavity, and four corners of the inner side of the cavity are provided with metal arc plates, and the metal arc plates and the lower sphere are of an integral structure.
CN202311731281.3A 2023-12-15 2023-12-15 Biliary tract flushing device used after liver transplantation Active CN117771464B (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108543122A (en) * 2018-03-01 2018-09-18 张贤彬 A kind of liver and gall pancreas drainage device
CN208405548U (en) * 2018-04-04 2019-01-22 中国人民武装警察部队总医院 One kind being used for after liver transplantation biliary tract irrigation and drainage loop pipe
CN215608692U (en) * 2021-09-08 2022-01-25 湖南省人民医院 T pipe that possesses washing function
CN114366878A (en) * 2022-02-17 2022-04-19 中国人民解放军陆军军医大学第二附属医院 Liver and gall drainage flushing device
CN115317703A (en) * 2022-08-12 2022-11-11 新疆维吾尔自治区人民医院 Vagina washing unit is used in cervical carcinoma radiotherapy patient's nursing

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108543122A (en) * 2018-03-01 2018-09-18 张贤彬 A kind of liver and gall pancreas drainage device
CN208405548U (en) * 2018-04-04 2019-01-22 中国人民武装警察部队总医院 One kind being used for after liver transplantation biliary tract irrigation and drainage loop pipe
CN215608692U (en) * 2021-09-08 2022-01-25 湖南省人民医院 T pipe that possesses washing function
CN114366878A (en) * 2022-02-17 2022-04-19 中国人民解放军陆军军医大学第二附属医院 Liver and gall drainage flushing device
CN115317703A (en) * 2022-08-12 2022-11-11 新疆维吾尔自治区人民医院 Vagina washing unit is used in cervical carcinoma radiotherapy patient's nursing

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